Studio M Architecture and Planning/Eng/293,000/Civic Square Storage Building - DesignStudio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317 Q O
Contract Not To Exceed $293,000.00
Zi 5
AGREEMENT FOR PROFESSIONAL SERVICES
THIS AGREEMENT FOR PROFESSIONAL SERVICES ("Agreement") is hereby made and entered into by
and between the City of Carmel, Indiana, acting by and through its Board of Public Works and Safety (hereinafter
"City"), and Studio M Architecture & Planning (hereinafter "Professional").
RECITALS
WHEREAS City owns and is responsible for the operation and maintenance of its property, personnel, public
works and infrastructure; and
and
WHEREAS, from time to time, City needs professional assistance in fulfilling its foregoing responsibilities;
WHEREAS, Professional is experienced in providing and desires to provide to City the professional services
("Services") referenced herein; and
WHEREAS, City desires to engage Professional as an independent contractor for the purpose of providing to
City the Services referenced herein;
NOW, THEREFORE, in consideration of the foregoing recitals and the covenants and conditions set forth
herein, City and Professional mutually agree as follows:
SECTION 1 INCORPORATION OF RECITALS
The foregoing Recitals are hereby incorporated into this Agreement and made a part hereof.
SECTION 2 SCOPE OF SERVICES
2.1 City desires to engage Professional as an independent contractor for the Services set forth in attached
Exhibit A, incorporated herein by this reference. Vendor will not perform any of the Services detailed in
Exhibit A prior to obtaining a written Notice to Proceed from the City. Upon receiving a Notice to Proceed,
the Vendor shall perform only those Services specifically detailed in the Notice. If the Vendor desires
clarification of the scope of any Notice to Proceed, the Vendor shall obtain such clarification from the City in
writing, prior to performing the service set forth in the Notice to Proceed. Any services performed without the
City's prior express written authorization will not be compensated
2.2 Professional understands and agrees that City may, from time to time, request Professional to provide
additional or modified Services to City. When City desires additional Services from Professional, the City
shall notify Professional of such additional Services desired, as well as the time frame in which same are to
be provided. Only after City has approved Professional's time and cost estimate for the provision of such
additional Services, has encumbered sufficient monies to pay for same, and has authorized Professional, in
writing, to provide such additional Services, shall such Services be provided by Professional to City. A copy
ISXmVaa0Pro(.5vcs & Goods SveslEnginmTing\2018\S1udio M Archilwa & Planning Professional Savices.doc:l/29/2018 10,59 AM)
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
of the City's authorization documents for the purchase of additional Services shall be numbered and attached
hereto in the order in which they are approved by City.
2.3 Time is of the essence of this Agreement.
SECTION 3 CITY'S RESPONSIBILITIES
3.1 City shall provide such information as is reasonably necessary for Professional to understand the Services
requested.
3.2 City shall provide all data required for provision of Services. Professional may assume that all data so
provided is correct and complete.
3.3. City shall arrange for Professional to enter upon public and private property as reasonably required for
Professional to perform the Services.
3.4 City shall designate payment of the Services from City budget appropriation number 2017 LOIT Bond funds.
3.5 City shall designate the Mayor or his duly authorized representative to act on City's behalf on all matters
regarding the Services.
SECTION 4 PROFESSIONAL'S RESPONSIBILITIES
4.1 Professional shall perform the Services pursuant to the terms of this Agreement and within any applicable
time and cost estimate.
4.2 Professional shall coordinate with City its performance of the Services.
4.3 Professional shall provide the Services by following and applying at all times reasonable and lawful
standards as accepted in the industry.
SECTION 5 COMPENSATION
5.1 Professional estimates that the total price for the Services to be provided to City hereunder shall be no more
than Two Hundred Ninety Three Thousand Dollars ($293.000.00) (the "Estimate"). Professional shall submit
an invoice to City no more than once every thirty (30) days for Services provided City during the time period
encompassed by such invoice. Invoices shall be submitted on a form containing the same information as that
contained on the Professional Services Invoice attached hereto as Exhibit B, incorporated herein by this
reference. City shall pay Professional for all undisputed Services rendered and stated on such invoice within
thirty five (35) days from the date of City's receipt of same.
5.2 Professional agrees not to provide any Services to City that would cause the total cost of same to exceed the
Estimate, without City's prior written consent.
jWo V—\Pro! Svcs & Goods 5-1Engineering\2018\S1udio M Archi—ime & Planning Professional Savic-d-1/292018 10:59 AMI
2
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
SECTION 6 TERM
Unless otherwise terminated in accordance with the termination provisions set forth in Section 7.1
hereinbelow, this Agreement shall be in effect from the Effective Date through December 31, 2018, and shall,
on the first day of each January thereafter, automatically renew for a period of one (1) calendar year, unless
otherwise agreed by the parties hereto.
SECTION 7 MISCELLANEOUS
7.1 Termination
7.1.1 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City or Professional, without cause, upon thirty (30) days' notice.
7.1.2 The obligation to provide all or any portion of the Services under this Agreement may be terminated
by City, for cause, immediately upon Professional's receipt of City's "Notice To Cease Services."
7.1.3 In the event of full or partial Agreement termination, and as full and complete compensation
hereunder, Professional shall be paid for all such Services rendered and expenses incurred as of
the date of termination that are not in dispute, except that such payment amount shall not exceed
the Estimate. Disputed compensation amounts shall be resolved as allowed by law.
7.2 Binding Effect
City and Professional, and their respective officers, officials, agents, partners and successors in interest are
bound to the other as to all Agreement terms, conditions and obligations.
7.3 No Third Party Beneficiaries
Nothing contained herein shall be construed to give rights or benefits to anyone other than the parties
hereto.
7.4 Relationship
The relationship of the parties hereto shall be as provided for in this Agreement, and neither Professional nor
any of its agents, employees or contractors are City employees. Professional shall have the sole
responsibility to pay to or for its agents, employees and contractors all statutory, contractual and other
benefits and/or obligations as they become due. Professional hereby warrants and indemnifies City for and
from any and all costs, fees, expenses and/or damages incurred by City as a result of any claim for wages,
benefits or otherwise by any agent, employee or contractor of Professional regarding or related to the subject
matter of this Agreement. This indemnification obligation shall survive the termination of this Agreement.
7.5 Insurance
Professional shall procure and maintain with an insurer licensed to do business in the State of Indiana such
insurance as is necessary for the protection of City and Professional from all claims under workers'
compensation, occupational disease and/or unemployment compensation acts, because of errors and
omissions, because of bodily injury, including, but not limited to, the personal injury, sickness, disease, or
1SACmVWs~..S-s & Goods SwsEngin—ngV01Mrudio M A,chiwl— & Planning Processional S—i—d-.1/29/2018 10:59 AMI
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
death of any of Professional's employees, agents or contractors and/or because of any injury to or
destruction of property, including, but not limited to, any loss of use resulting therefrom. The coverage
amounts shall be no less than those amounts set forth on attached Exhibit C. Such insurance policies shall
not be canceled without thirty (30) days' prior written notice to City.
7.6 Liens
Professional shall not cause or permit the filing of any lien on any of City's property. In the event such a lien
is filed and Professional fails to remove it within ten (10) days after the date of filing, City shall have the right
to pay or bond over such lien at Professional's sole cost and expense.
7.7 Default
In the event Professional: (a) repudiates, breaches or defaults under any of the terms or conditions of this
Agreement, including Professional's warranties; (b) fails to perform the Services as specified; (c) fails to
make progress so as to endanger timely and proper completion of the Services and does not correct such
failure or breach within five (5) business days after receipt of notice from City specifying same; or (d)
becomes insolvent, files, or has filed against it, a petition for receivership, makes a general assignment for
the benefit of creditors or dissolves, each such event constituting an event of default hereunder, City shall
have the right to terminate all or any part of this Agreement, without liability to Professional and to exercise
any other rights or remedies available to it at law or in equity.
7.8 Government Compliance
Professional agrees to comply with all laws, executive orders, rules and regulations applicable to
Professional's performance of its obligations under this Agreement, all relevant provisions of which being
hereby incorporated herein by this reference, to keep all of Professionals' required professional licenses and
certifications valid and current, and to indemnify and hold harmless City from any and all losses, damages,
costs, liabilities, damages, costs and attorney fees resulting from any failure by Professional to do so. This
indemnification obligation shall survive the termination of this Agreement.
7.9 Indemnification
Professional shall indemnify and hold harmless City and its officers, officials, employees and agents from all
losses, liabilities, claims, judgments and liens, including, but not limited to, all damages, costs, expenses and
attorney fees arising out of any intentional or negligent act or omission of Professional and/or any of its
employees, agents or contractors in the performance of this Agreement. This indemnification obligation shall
survive the termination of this Agreement.
7.10 Discrimination Prohibition
Professional represents and warrants that it and each of its employees, agents and contractors shall comply
with all existing and future laws prohibiting discrimination against any employee, applicant for employment
and/or other person in the subcontracting of work and/or in the performance of any Services contemplated by
this Agreement with respect to hire, tenure, terms, conditions or privileges of employment or any matter
directly or indirectly related to employment, subcontracting or work performance hereunder because of race,
religion, color, sex, handicap, national origin, ancestry, age, disabled veteran status or Vietnam era veteran
status. This indemnification obligation shall survive the termination of this Agreement.
JSAConvanslProf.Svcs & Goods SvcslEngineering%20lMtndio M Architwure & Planning Professional Seivices.dor.l/29/2018 10:59 AMI
4
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
7.11 E -Verify
Pursuant to I.C. § 22-5-1.7 et seq., Professional shall enroll in and verify the work eligibility status of all of its
newly -hired employees using the E -Verify program, if it has not already done so as of the date of this
Agreement. Professional is further required to execute the attached Affidavit, herein referred to as Exhibit D,
which is an Affidavit affirming that: (i) Professional is enrolled and is participating in the E -verify program, and
(ii) Professional does not knowingly employ any unauthorized aliens. This Addendum incorporates by
reference, and in its entirety, attached Exhibit D. In support of the Affidavit, Professional shall provide the City
with documentation that it has enrolled and is participating in the E -Verify program. This Agreement shall not
take effect until said Affidavit is signed by Professional and delivered to the City's authorized representative.
Should Professional subcontract for the performance of any work under this Addendum, the
Professional shall require any subcontractor(s) to certify by affidavit that: (i) the subcontractor does not
knowingly employ or contract with any unauthorized aliens, and (ii) the subcontractor has enrolled and is
participating in the E -verify program. Professional shall maintain a copy of such certification for the duration
of the term of any subcontract. Professional shall also deliver a copy of the certification to the City within
seven (7) days of the effective date of the subcontract.
If Professional, or any subcontractor of Professional, knowingly employs or contracts with any
unauthorized aliens, or retains an employee or contract with a person that the Professional or subcontractor
subsequently learns is an unauthorized alien, Professional shall terminate the employment of or contract with
the unauthorized alien within thirty (30) days ("Cure Period"). Should the Professional or any subcontractor of
Professional fail to cure within the Cure Period, the City has the right to terminate this Agreement without
consequence.
The E -Verify requirements of this Agreement will not apply, should the E -Verify program cease to exist.
7.12 Severability
If any provision of this Agreement is held to be invalid, illegal or unenforceable by a court of competent
jurisdiction, that provision shall be stricken, and all other provisions of this Agreement that can operate
independently of same shall continue in full force and effect.
7.13 Notice
Any notice, invoice, order or other correspondence required or allowed to be sent pursuant to this Agreement
shall be written and either hand -delivered or sent by prepaid U.S. certified mail, return receipt requested,
addressed to the parties as follows:
CITY:
City of Carmel
Department of Engineering
One Civic Square
Carmel, Indiana 46032
ATTENTION: Jeremy Kashman
[SACm&w1s1R0/.SV & Goods Sws\Engineermg\201W[udw M Archn-.c & PI—mg Profe i-.1 S—icesA-1/29/2018 M.59 AMI
Douglas C. Haney
Corporation Counsel
One Civic Square
Carmel, Indiana 46032
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
PROFESSIONAL:
Studio M Architecture & Planning
2 West Main Street
Carmel, IN 46032
ATTENTION: Dan Moriarity
Notwithstanding the above, City may orally provide to Professional any notice required or permitted by this
Agreement, provided that such notice shall also then be sent as required by this paragraph within ten (10)
business days from the date of such oral notice.
7.14 Effective Date
The effective date ("Effective Date") of this Agreement shall be the date on which the last of the parties
hereto executes same.
7.15 Governing Law; Lawsuits
This Agreement shall be governed by and construed in accordance with the laws of the State of Indiana,
except for its conflict of laws provisions, as well as by all ordinances and codes of the City of Carmel,
Indiana. The parties agree that, in the event a lawsuit is filed hereunder, they waive any right to a jury trial
they may have, agree to file such lawsuit in an appropriate court in Hamilton County, Indiana only, and agree
that such court is the appropriate venue for and has jurisdiction over same.
7.16 Waiver
Any delay or inaction on the part of either party in exercising or pursuing its rights and/or remedies hereunder
or under law shall not operate to waive any such rights and/or remedies nor in any way affect the rights of
such party to require such performance at any time thereafter.
7.17 Non -Assignment
Professional shall not assign or pledge this Agreement nor delegate its obligations hereunder without City's
prior written consent.
7.18 Entire Agreement
This Agreement contains the entire agreement of and between the parties hereto with respect to the subject
matter hereof, and no prior agreement, understanding or representation pertaining to such subject matter,
written or oral, shall be effective for any purpose. No provision of this Agreement may be amended, added to
or subtracted from except by an agreement in writing signed by both parties hereto and/or their respective
successors in interest. To the extent any provision contained in this Agreement conflicts with any provision
contained in any exhibit attached hereto, the provision contained in this Agreement shall prevail.
J5:XCmVaetsTrof.Svcs & Goods S— EngineeringU01g0who M Architecture & Planning Professional Savices.doc: 1/29!1018 10:59 AM]
6
Studio M Architecture & Planning
Engineering Department - 2018
Appropriation #2017 LOIT Bond Fund; P.O.#101317
Contract Not To Exceed $293,000.00
7.19 Representation and Warranties
Each party hereto represents and warrants that it is authorized to enter into this Agreement and that any
person or entity executing this Agreement on behalf of such party has the authority to bind such party or the
party which they represent, as the case may be.
7.20 Headings
All headings and sections of this Agreement are inserted for convenience only and do not form a part of this
Agreement nor limit, expand or otherwise alter the meaning of any provision hereof.
7.21 Advice of Counsel
The parties warrant that they have read this Agreement and fully understand it, have had an opportunity to
obtain the advice and assistance of counsel throughout the negotiation of same, and enter into same freely,
voluntarily, and without any duress, undue influence or coercion.
7.22 Copyright
City acknowledges that various materials which may be used and/or generated by Professional in
performance of Services, including forms, job description formats, comprehensive position questionnaire,
compensation and classification plan and reports are copyrighted. City agrees that all ownership rights and
copyrights thereto lie with Professional, and City will use them solely for and on behalf of its own operations.
City agrees that it will take appropriate action with its employees to satisfy its obligations with respect to use,
copying, protection and security of Professional's property.
7.23 Personnel
Professional represents that it has, or will secure at its own expense, all personnel required in performing the
services under this agreement. Such personnel shall not be employees of or have any contractual
relationship with City. All of the services required hereunder will be performed by Professional or under his
supervision and all personnel engaged in the work shall be fully qualified to perform such services.
7.24 Records and Inspections
Professional shall maintain full and accurate records with respect to all matters covered under this
agreement for three (3) years after the expiration or early termination of this Agreement. City shall have free
access at all proper times to such records and the right to examine and audit the same and to make
transcripts there from, and to inspect all program data, documents, proceedings and activities.
7.25 Accomplishment of Project
Professional shall commence, carry on, and complete the project with all practicable dispatch, in a sound
economical and efficient manner, in accordance with the provisions thereof and all applicable laws. In
accomplishing the project, Professional shall take such steps as are appropriate to ensure that the work
involved is properly coordinated with related work being carried on within City's organization.
JS:1CmvaclslProf.Sv & Goods Sws\Engineering\2018\S1udio M Archiwf— @ Planning Professional S—icesA-1/29/2718 10:59 AM)
Studio M Architecture & Planning
Engineering Depalment - 2018
Appropnation #2017 LOIT Bond Fund: P.O.#101317
Contract Not To Exceed $293,000.00
7.26 Iran Certification
Pursuant to I.C. § 5-22-16.5, the Professional shall certify that, in signing this Agreement, it does not engage
in investment activities within the Country of Iran.
7.27 Access to Public Records Act
Professional understands and agrees that any "public record", as that term is defined in Indiana Code 5-14-3-
2(m), as amended, that is related to the subject matter of this Agreement, whether the same is in the
possession or control of the Professional or the City, shall be subject to release under and pursuant to the
provisions of Indiana's Access to Public Records Act, as codified in Indiana Code 5-14-3-1, et SeMc ., as
amended.
IN WITNESS WHEREOF, the parties hereto have made and executed this Agreement as follows:
CITY OF CARMEL, INDIANA
by and through its Board of Public
Works and Safety
I�
-C �Nrv� J-_
James Brainard, Presiding Officer
Date:
ATT T:
Christine S. Pain , CI raasurer
Date: /
Studio M Architecture & Planning
Authorized Signature
Printed Name: I E L MD fL tkVI 11-11y
Title: FPoWJPAL
FID/TIN: 44 _ --$ 8 1 17Co &
Last Four of SSN if Sole Proprietor:
Date: J ;� uv,.1Q-Y 29
IS 1C_4_0,fs&fu& IftS,.li.N1 M he.—@%ai gN4—i—I 5—n 6. Is lir?Y MII
1-737
01
ARCHITECTURE & PLANNING
January 23, 2018
Mr. Jeremy Kashman
City Engineer
City of Carmel
First Floor
One Civic Square
Carmel, IN 46032
Re: City Center Storage Building
Dear Mr. Kashman:
Studio M Architecture and Planning is pleased to present this proposal for architectural and engineering design
services for a city storage building to be built in the vicinity of the City Government Center.
Scope of Work:
Meet with you and City department heads to program potential uses for the facility. Primary uses will include
vehicle parking, shops and storage, with two levels of unassigned office space above. A preliminary list of
users includes:
o Fire Department—Chief Dave Haboush
o DOCS Urban Forestry — Mike Hollibaugh
o Facilities - Clayton Bell
o Street Department — David Huffman
o Miscellaneous — Nancy Heck
o Timothy Renick — Information and Communication Services
o Office Space — Currently unassigned
• Develop site plans, floor plans, elevations and renderings for review and approval.
• Meet with interested stakeholders like the CRC, Mayor Brainard and City Councilors as needed
• Complete detailed design documents for public bidding that include the storage/office building, utility
relocation, and associated sitework.
• Coordinate public bidding including notices, pre- bid meeting, bid analysis and award.
• Provide Construction Observation services throughout construction until occupancy.
• Civil Design
o Topographic survey for design (no boundary surveys included)
■ Limits of this survey will include the entire proposed development area shown on the
attached exhibit and then in addition the ditch area going south to Gracile Drive along
the east side of the Monon and also the relevant area of the parking area to the west of
the existing commercial buildings facing Rangeline Road.
o Preliminary phase
■ Review of previous drainage reports
■ Alternates for temporary detention with conceptual exhibits
■ Drainage coordination with WCC, Carmel, and Ham. County
■ Existing Utility Coordination
o Master Drainage Report & Design and Construction plans
■ Master Drainage Report for the development area for both temporary/phased
conditions and final condition bdaitA_
■ Design and civil plans for the proposed storage building �f ,
■ Utility coordination and plan for the proposed storage building
■Design plans for converting legal drain along Monon (south to Gradle Drive) into a pipe
■ All coordination for the above items with WCC, Carmel, and Ham. Cty
2 West Main Street. Cannel. 1N 46032 317.810.1502 x«vNN.studio march itecture.net
0TUC+J
ARCHITECTURE & PLANNING
o Permitting and Bid Phase
■ Includes all time necessary for permitting of above work items (no permit fees included)
More detailed services can be outlined in a standard AIA contract, or as an amendment to the standard City
professional services contract.
Schedule:
It is my understanding that the goal is to begin construction in the spring of 2018. If the location becomes part of
another project, this may adjust to coordinate with that plan.
Budget:
Storage Building/Office
Construction Cost
Storage $ 1,700,000.00
Office $ 2,700,000.00
Fees $ 293,000.00 A/E Fees
Owners Testing Allowance $ 15,000.00
Utility Relocations $ 50,000.00 Placeholder
Drainage Upgrades $ 400,000.00 Placeholder
Contingency $ 300,000.00
$ 5,458,000.00
Until the drainage and utility studies are completed, the cost of those two line items are unknown. I have included
placeholders, so we have a starting point.
Project Team:
We have assembled the following team of engineers to assist with the effort. Their fees are included below:
Civil Engineering and Landscape Design Crossroads Engineers
Structural and Foundations Lynch Harrison and Brumleve
Mechanical, Electrical and Plumbing Engineering KBSO
Compensation:
Our fee for the scope of services described above will be fixed at of $293,000
Schematic Design
$43,950.00
Design Development
$73,250.00
Construction Documents
$125,990.00
Bidding
$5860.00
Construction Administration
$43,950.00
$293,000.00
By discipline:
Civil
$68,000.00
Structural Engineering
$42,000.00 -•L_
Elmit
MEP Engineering
$55,000.00
Architectural
$128,000.00
$293,000.00
2 Rest Main Street. Carmel. IN 46032
317.810.1502 stud iomarchitecture.net
STUDIO M
ARCHITECTURE & PLANNING
Cash Flow
February
$
43,950.00
March
$
36,625.00
April
$
36,625.00
May
$
41,996.67
June
$
41,996.67
July
$
41,996.67
August
$
9,522.50
September
$
3,662.50
October
$
3,662.50
November
$
3,662.50
December
$
3,662.50
January
$
3,662.50
February
$
3,662.50
March
$
3,662.50
April
$
3,662.50
May
$
3,662.50
June
$
3,662.50
July
$
3,662.50
$
293,000.00
Additional expenses are not anticipated with the exception of color printing if needed, and Department of Homeland
Security Plan Review Fees. These expenses should not exceed $10,000.00.
Thank you for the opportunity to assist the City of Carmel. If you have questions, please feel free to call my cell
anytime at 317.496.0486.
Regards,
00-0�
Dan Moriarity
Exin'bt—A--
2 West Main Street. Cannel. IN 46032 317.810.1502 wvow. stud iomarch itecture. net
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EXHIBIT B
Invoice
Name of Company:
Address & Zip:
Telephone No.:
Fax No.:
Project Name:
Invoice No.
Purchase Order No:
Date:
Signature
Printed Name
Goods
Services
Person Providing
Goods/Services
Date
Goods/
Service
Provided
Goods/Services Provided
(Describe each good/service
separately and in detail)
Cost Per
Item
Hourly
Rate/
Hours
Worked
Total
GRAND TOTAL
Signature
Printed Name
EXHIBIT C
INSURANCE COVERAGES
Worker's Compensation & Disability
Employer's Liability:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Bodily Injury by Accident/Disease:
Property damage, contractual liability,
products -completed operations:
General Aggregate Limit (other than
Products/Completed Operations):
Products/Completed Operations:
Personal & Advertising Injury
Policy Limit:
Each Occurrence Limit:
Fire Damage (any one fire):
Medical Expense Limit (any one person):
Statutory Limits
$100,000 each employee
$250,000 each accident
$500,000 policy limit
i. 11 111
�. 11 111
$500,000
$250,000
$250,000
$ 50,000
Comprehensive Auto Liability (owned, hired and non -owned)
Bodily Single Limit:
Injury and property damage:
Policy Limit:
Umbrella Excess Liability
Each occurrence and aggregate:
Maximum deductible:
$500,000 each accident
$500,000 each accident
$500,000
'.s11 111
1 111
EXHIBIT D
AFFIDAVIT
P&W I G'�" and Iz i t. r- % , being first duly sworn, deposes and says that
he/she is familiar with and has personal knowledge of the facts herein and, if called as a witness in this
matter, could testify as follows:
I am over eighteen (18) years of age and am competent to testify to the facts contained
herein.
2. I am now and at all times relevant herein have been employed by
S fu D Is M A tecki TEG Tvtae A (the "Employer")
Pty►.►NI ..1y
in the position of � ws,E k / Pie- 1t-tGIVAL,
3. 1 am familiar with the employment policies, practices, and procedures of the Employer and
have the authority to act on behalf of the Employer.
4. The Employer is enrolled and participates in the federal E -Verify program and has
provided documentation of such enrollment and participation to the City of Carmel,
Indiana.
S. The Company does not knowingly employ any unauthorized aliens.
FURTHER Ah17ANT SAYETH NOT.
EXECUTED on the _? 4111\day of
Printed:
20 1$
I certify under the penalties for perjury under the laws of the United States of America and the State of
Indiana that the foregoing factual statements and representations are true and correct.
` Nw�ary PuIL
blic
SEAL ll nn
State of Indiana Printed:_ IbU1 Nt 1�
MY Commisslon Expites January 6, 2022
�� - INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
City of
Car
FEDERAL EXCISE TAX EXEMPT
ONE CIVIC SQUARE 35-6000972
CARMEL, INDIANA 46032-2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
Page 1 of 1
PURCHASE ORDER NUMBER
101317
THIS NUMBER MUST APPEAR ON INVOICES, AIP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE
PURCHASE ORDER DATE DATE REQUIRED I REQUISITION NO. VENDOR NO. DESCRIPTION
1/23/2018 370303 Project 18 -ENG -16; Contract Date 02.07.18
STUDIO M ARCHITECTURE AND PLANNING,
VENDOR 2 WEST MAIN STREET
CARMEL, IN 46032 -
PURCHASE ID BLANKET I CONTRACT PAYMENT TERMS
22865
QUANTITY UNIT OF MEASURE DESCRIPTION
City Engineering's Office
SHIP 1 Civic Square
TO Carmel, IN 46032 -
Kate Lustig
Department: 2200 Fund: 0 2017 LOIT Bond Fund
Account: 94-650.04
1 Each City Center - Civic Square Storage Building
Send Invoice To:
Jill Newport
CrossRoad Engineers, P.C.
3417 Sherman Drive
Beech Grove, IN 46107 NO
m
G.O./Storm PLEASE INVOICE IN DUPLICATE
FREIGHT
UNIT PRICE
$293,000.00
Sub Total
EXTENSION
$293,000.00
$293,000.00
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT $293,000.00
SHIPPING INSTRUCTIONS • AIP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A
PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN
'SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBUGATED BALANCE IN
•C.O.D. SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
*THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY
Jeremy Kashman James Crider
TITLE Director Administration
CONTROL NO. 101317 CLERK -TREASURER